Abstract
Facial trauma is a common presentation to the emergency department, usually as a result of a blunt trauma. The trauma can range from a simple, isolated nondisplaced fracture to complex displaced facial fractures. Multiple fracture patterns have been described that make it easier to efficiently detect, document, and communicate the diagnosis in patients with multiple fractures. Rene Le Fort made the earliest and most famous classification in 1901, and since that time multiple other fracture patterns have been described. While these can be present in pure form, often they coexist, particularly in the setting of high-impact trauma.
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References
LeFort R. Etude experimentale sur les fractures de la machoire superieure. Rev Chir. 1901;23:208–27.
Sicher H, Debrul EL. Oral anatomy. 5th ed. St. Louis: Mosby; 1970. p. 78.
Gentry LR et al. High resolution of the CT analysis of the facial struts in trauma: 1 and 2: normal anatomy and osseous and soft-tissue complications. AJR Am J Roentgenol. 1983;140:523–41.
Manson P et al. Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures. Plast Reconstr Surg. 1980;66(1):54–62.
Fonseca R et al. Oral and maxillofacial trauma. St. Louis: Elsevier/Saunders; 2005.
Dolan K et al. The radiology of facial fractures. Radiographics. 1984;4:575–663.
Moore K et al. Clinically oriented anatomy. 6th ed. Baltimore: Lippincott Williams & Wilkins; 2010.
Smith B, Regan WF. Blow-out fracture of the orbit, mechanism and correction of internal orbital fracture. Am J Ophthalmol. 1957;44:733–9.
Rhee J et al. Orbital blowout fractures: experimental evidence for the pure hydraulic theory. Arch Facial Plast Surg. 2002;4:98–101.
Chirico P et al. Orbital “blow-in” fractures: clinical and CT features. J Comput Assist Tomogr. 1989;13(6):1017–22.
Antonyshyn O et al. Blow-in fractures of the orbit. Plast Reconstr Surg. 1989;84(1):10–20.
Rohrich RJ et al. Superior orbital fissure syndrome: current management concepts. J Craniomaxillofac Trauma. 1995;1(2):44–8.
Hopper R et al. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 2006;26:783–93.
Markowitz B et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragments in classification and treatment. Plast Reconstr Surg. 1991;87(5):843–53.
Ioannides C et al. Fractures of the frontal sinus: classification and its implications for surgical treatment. Am J Otolaryngol. 1999;20(5):273–80.
Stanley R et al. Injuries of the nasofrontal orifices in frontal sinus fractures. Laryngoscope. 1987;97(6):728–31.
Gonty A et al. Management of frontal sinus fractures: a review of 33 cases. J Oral Maxillofac Surg. 1999;57:372–9.
Fraioli R et al. Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 2008;41:51–76.
Andreasen J, et al. Traumatic dental injuries: a manual. 3rd ed. Malden: Wiley-Blackwell; 2003. 18. p. 260–2.
Antoniades K et al. Sagittal fracture of the maxilla. J Craniomaxillofac Surg. 1990;18(6):260–2.
World Health Organization. Application of the International Classification of Diseases to Dentistry and Stomatology. IDC-DA. 3rd ed. Geneva: World Health Organization; 1995.
Hendrickson M et al. Palatal fractures: classification, patterns and treatment with rigid internal fixation. Plast Reconstr Surg. 1998;101:319–32.
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Coughlin, D., Jaffray, P. (2013). Imaging of Facial Fractures. In: Singh, A. (eds) Emergency Radiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9592-6_17
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DOI: https://doi.org/10.1007/978-1-4419-9592-6_17
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